Tác động lâu dài của lovastatin đơn độc và kết hợp với cholestyramine đến mức lipoprotein (a) ở bệnh nhân có tiền sử gia đình tăng cholesterol máu

Springer Science and Business Media LLC - Tập 70 - Trang 711-718 - 1992
T. P. Leren1, I. Hjermann2, O. P. Foss3, P. Leren2, K. Berg1,4
1Department of Medical Genetics, Ullevaal Hospital, Oslo
2Department of Medicine, Ullevaal Hospital, Oslo
3Department of Central Laboratory, Ullevaal Hospital, Oslo
4Institute of Medical Genetics, University of Oslo, Oslo, Norway

Tóm tắt

Chúng tôi đã xác định tác động của lovastatin đơn độc hoặc kết hợp với cholestyramine đến mức lipoprotein (a) [Lp(a)] ở 59 người mang gen dị hợp tử bệnh tăng cholesterol máu gia đình (FH) được điều trị trong 33,8 (±6,1) tháng. Giá trị Lp(a) trung vị trước thử nghiệm là 10,2 mg/100 ml, gấp đôi giá trị trung vị ở những người khỏe mạnh được khảo sát tại Viện Di truyền Y tế, Đại học Oslo. Mức Lp(a) trung vị đã giảm không có ý nghĩa statistic là 10,3% trong 20 tuần đầu tiên khi các đối tượng sử dụng điều trị chuẩn với liều lovastatin và cholestyramine tăng dần. 20 tuần đầu tiên được theo sau bởi giai đoạn điều trị chăm sóc thông thường, và một sự giảm tiếp theo trong mức Lp(a) đến 16,2% (P=0.0012) đã được quan sát thấy vào cuối nghiên cứu. So sánh giữa 20 đối tượng dùng monotherapy lovastatin và 31 đối tượng dùng liệu pháp kết hợp lovastatin và cholestyramine cho thấy rằng các đối tượng dùng đơn thuốc có mức giảm trung vị là 20,1%, và các đối tượng dùng liệu pháp kết hợp có mức giảm là 15,4%. Do đó, có vẻ như sự giảm mức Lp(a) có thể được quy cho chính lovastatin.

Từ khóa

#lovastatin #cholestyramine #lipoprotein (a) #tăng cholesterol máu gia đình

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